Dr Thomas Benjamin De Miranda, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fort Smith, Arkansas. His current practice location is
2707 Market Trce, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 434-3600.
Dr Thomas Benjamin De Miranda is licensed to practice in Arkansas (license number E-6411) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689866725.
Physician's Profile
Full Name | Dr Thomas Benjamin De Miranda |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 2707 Market Trce, Fort Smith, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689866725
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981735636
- Enrollment ID: I20100624000874
Medical Identifiers
Medical identifiers for Dr Thomas Benjamin De Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689866725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | E-6411 (Arkansas) | Primary |
207Q00000X | Family Medicine | E-6411 (Arkansas) | Secondary |
207Q00000X | Family Medicine | 27166 (Oklahoma) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Thomas Benjamin De Miranda allows following entities to bill medicare on his behalf.
Entity Name | Northwest Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882 |
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Entity Name | Boston Mountain Rural Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
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Entity Name | Siloam Springs Clinic Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025 |
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Entity Name | Brett Whatcott Do Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003470501 PECOS PAC ID: 9032538814 Enrollment ID: O20201019000126 |
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Entity Name | Crossroads Telemedicine Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285371021 PECOS PAC ID: 3072991124 Enrollment ID: O20220602001100 |
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Entity Name | Tbd Health Enterprises Of Arkansas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760242440 PECOS PAC ID: 1951845163 Enrollment ID: O20240628002021 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Benjamin De Miranda is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Thomas Benjamin De Miranda, MD 2707 Market Trce, Fort Smith, AR 72908-8694 Ph: (479) 434-3600 | Dr Thomas Benjamin De Miranda, MD 2707 Market Trce, Fort Smith, AR 72908-8694 Ph: (479) 434-3600 |
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